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CQC report explained · a residential care home

What the CQC found at Ancliffe Residential Care Home

Goodpublished 29 August 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing infections, using PPE safely, supporting testing, maintaining hygiene and managing isolation and outbreaks.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong infection prevention and control measures during the COVID-19 pandemic.

This was an announced, targeted inspection on 8 March 2021. It looked at how well the home was prepared to prevent and control infection during the coronavirus pandemic.

Inspectors found robust checks for visitors, including temperature checks, symptom checks, risk assessments and PPE prompts. Cleaning had been increased, frequent touch points were cleaned as often as hourly, and audits and daily checks were completed.

The home had enough PPE, and staff had training in infection control and its safe use. The home supported safe visits and contact with relatives through appointments, video calls, telephone calls and window visits.

The service was inspected but not rated. This report does not give an overall rating or ratings for care, effectiveness, kindness, responsiveness or leadership.

What inspectors praised
  • Visitor safety

    The home used several checks for essential visitors, including temperature checks, symptom checks, risk assessments and PPE prompts.

    “Robust processes were in place for any essential visitors to the home.” from the report
  • Cleaning and audits

    Cleaning was increased during the pandemic. Frequent touch points were cleaned regularly, with records, audits and daily walkrounds used to monitor standards.

    “Frequent touch points had been cleaned as often as hourly, with records evidencing this.” from the report
  • PPE and staff training

    There was a plentiful supply of PPE, and inspectors found that staff wore it correctly and consistently. Staff had completed infection control and PPE training.

    “The home had a plentiful supply of PPE, which was worn correctly and consistently by staff.” from the report
  • Contact with relatives

    The home supported relatives to keep in contact through screened visits, video calls, telephone calls and window visits, in line with guidance.

    “Contact with relatives had been maintained throughout the pandemic, in line with local and government guidance.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have the infection prevention and control arrangements described in the report changed since March 2021?
  2. 02How often are high-touch areas cleaned now, and can families see the cleaning records or audit results?
  3. 03How are visitors currently checked, tested and supported to use PPE?
  4. 04How are relatives currently supported to visit or keep in contact when in-person visits are restricted?
  5. 05When was the home's infection prevention and control policy last updated?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was inspected but not rated and did not assess the other four key questions. This explanation was written from the published report of 18 March 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, August 2018

Rated Good; inspectors found safe, kind and personalised care, although some people felt staff were very busy.

Inspectors visited on 10 and 11 July 2018. The first day was unannounced. They spoke with people living at the home, a relative, staff and a visiting professional. They also checked the building, care records, staff files, medicines records and quality checks.

The home was clean and had suitable safety systems. Staff were trained to protect people from abuse. Staffing numbers matched the home's assessment of people's needs, although some people and staff said staff were busy. Medicines were managed safely and records were complete.

Inspectors found kind and respectful care. People were involved in their care plans and were supported to make choices. Food, drinks, activities and health care were provided in line with people's needs. The home had regular audits, meetings and a complaints process.

All five areas were rated Good: safe, effective, caring, responsive and well-led. This was the first inspection since the home re-registered in November 2017 after a change of ownership.

What inspectors praised
  • Kind and respectful care

    Inspectors observed warm, friendly and respectful interactions. People said staff understood their preferences and treated them with dignity.

    “Throughout the inspection we observed positive and appropriate interactions between the staff and people who used the service.” from the report
  • Safe medicines practice

    Staff who gave medicines were trained and assessed for competence. The records and stock checks examined by inspectors were accurate.

    “We saw medicines were stored, handled and administered safely and effectively.” from the report
  • Good oversight

    The home used frequent audits covering areas such as medicines, accidents, infection control and training. Action plans recorded how shortfalls were addressed.

    “Each audit included a detailed action plan, which specified what steps had been taken to address any identified issues or shortfalls.” from the report
  • Meals and activities

    People were offered choices at mealtimes and received support discreetly. The home also provided activities, entertainers, speakers and outings based on people's interests.

    “We observed a positive meal time experience on both days of the inspection.” from the report
What inspectors were concerned about
  • Staff felt busy

    needs fixing

    Some people said staff were rushed and had little time to chat. Staff said the people they supported had become more complex, although inspectors found needs were being met safely.

    “We do our best, workload has got harder as people we support are getting more complex, but we manage to meet people's needs.” from the report
  • Some people wanted more activities

    minor

    Most people spoken with felt there was enough to do, but one person did not. Families should check that activities suit their relative's interests and abilities.

    “All but one of the people we spoke with felt there was currently enough going on.” from the report
Questions to ask them, based on this report
  1. 01How do you decide how many staff are needed for each shift, and what happens when staff are absent?
  2. 02How do you make sure staff have enough time to talk with people as well as provide personal care?
  3. 03What is the current position of the ten DoLS applications, and have the outstanding assessments now taken place?
  4. 04How will you match activities and outings to my relative's interests and abilities?
  5. 05How often will my relative's care plan be reviewed, and how can our family take part?

This was a planned inspection covering all five CQC questions, with the first day unannounced; it was the first inspection since the home re-registered in November 2017 after a change of ownership. This explanation was written from the published report of 29 August 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Ancliffe Residential Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Ancliffe Residential Care Home →

  2. August 2018Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ancliffe Residential Care Home →

  3. October 2017

    Registered with the Care Quality Commission on 30 October 2017.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Wigan

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,260 a week. 92 can care for a couple. 11 years' experience on average.

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